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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

Questions: What are the symptoms of second-generation antipsychotic overdose? How is second-generation antipsychotic overdose diagnosed? What is the treatment for patients who have overdosed on second-generation antipsychotics? 4 The specific incidence of second-generation antipsychotic drug overdose is unknown, however, 4.7%

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Preventative Care Strategies for Healthier Communities

ESO

Early CPR plays an important role in the American Heart Associations (AHA) Chain of Survival , which emphasizes recognizing symptoms quickly, activating 911, performing CPR, and practicing early defibrillation and post-resuscitation care. You can also measure and monitor symptoms using the clinical opiate withdrawal scale (COWS).

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Resuscitated from ventricular fibrillation. Should the cath lab be activated?

Dr. Smith's ECG Blog

He was defibrillated into VT. He then underwent dual sequential defibrillation into asystole. The patient was brought to the ED and had this ECG recorded: What do you think? See these related cases: Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. After 1 mg of epinephrine they achieved ROSC.

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Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). His blood sugar was normal en route to the ED, and his initial rhythm on the cardiac monitor was asystole. It is unclear how long he was down.

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2023 AHA Update on ACLS

EMDocs

This post will focus on the key parts of the guideline that affect ED evaluation and management. Calcium is associated with harm but is still necessary in certain situations (hyperkalemia, calcium channel blocker overdose) (Level 3 recommendation: no benefit). Major Updates Avoid routine use of calcium in patients with cardiac arrest.

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Cardiac Arrest. What does the ECG show? Also see the bizarre Bigeminy.

Dr. Smith's ECG Blog

She was never defibrillated. I was texted this ECG in real time, but it turns out to actually be the 2nd one recorded in the ED. Drug-induced QT interval cannot be completely ruled out, but the tox consult found the she had definitely not overdosed and did not believe that therapeutic doses would do this. What do you think?

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Severe shock, obtunded, and a diagnostic prehospital ECG. Also: How did this happen?

Dr. Smith's ECG Blog

This is pathognomonic of hyperkalemia (I suppose it could be due to a massive overdose of a sodium channel blocking drug, maybe). They transported to the ED. The history, obtained subsequently, is interesting: The patient had been seen at an outside ED 2 days prior and the K was 2.5 She was in shock with thready pulses.

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